What each state pays for the same procedure. Start from a code — no need to pick a state first.
Restricted to widely-billed codes: a procedure billed in four states cannot tell you whether your rate is unusual.
Average paid per claim across 51 reporting states. National median $53.58. Idaho pays $48.88, 9% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| DC — District of Columbia | $125.35 | +134% | 128,730 | 33 | 27% |
| AK — Alaska | $101.48 | +89% | 361,578 | 69 | 37% |
| NJ — New Jersey | $100.26 | +87% | 1,034,778 | 194 | 36% |
| TX — Texas | $84.41 | +58% | 13,995,432 | 1,355 | 27% |
| NY — New York | $78.72 | +47% | 7,438,048 | 746 | 29% |
| VA — Virginia | $75.65 | +41% | 2,605,826 | 258 | 26% |
| SC — South Carolina | $75.54 | +41% | 3,202,109 | 341 | 19% |
| MA — Massachusetts | $70.31 | +31% | 974,541 | 284 | 37% |
| OK — Oklahoma | $66.83 | +25% | 1,760,703 | 208 | 20% |
| IA — Iowa | $65.45 | +22% | 518,192 | 60 | 23% |
| AZ — Arizona | $65.22 | +22% | 4,887,301 | 402 | 27% |
| AR — Arkansas | $65.01 | +21% | 6,990,173 | 568 | 19% |
| MO — Missouri | $64.82 | +21% | 761,600 | 263 | 35% |
| ND — North Dakota | $63.02 | +18% | 337,494 | 61 | 27% |
| NC — North Carolina | $61.60 | +15% | 10,194,343 | 642 | 24% |
| CT — Connecticut | $59.14 | +10% | 2,436,658 | 153 | 41% |
| OR — Oregon | $58.09 | +8% | 501,886 | 80 | 9% |
| VT — Vermont | $57.70 | +8% | 4,437 | 6 | 24% |
| MI — Michigan | $56.60 | +6% | 1,187,585 | 164 | 28% |
| GA — Georgia | $56.33 | +5% | 667,262 | 73 | 5% |
| HI — Hawaii | $55.75 | +4% | 15,092 | 10 | 17% |
| PA — Pennsylvania | $55.72 | +4% | 3,365,474 | 411 | 16% |
| MD — Maryland | $55.71 | +4% | 2,452,178 | 223 | 21% |
| FL — Florida | $54.77 | +2% | 13,330,444 | 2,259 | 17% |
| NM — New Mexico | $54.56 | +2% | 842,116 | 127 | 31% |
| WY — Wyoming | $53.58 | −0% | 67,263 | 25 | 19% |
| NV — Nevada | $52.97 | −1% | 1,345,042 | 153 | 22% |
| AL — Alabama | $50.35 | −6% | 1,461,929 | 183 | 21% |
| OH — Ohio | $49.83 | −7% | 4,439,205 | 809 | 23% |
| MN — Minnesota | $49.47 | −8% | 1,266,549 | 110 | 24% |
| ID — Idaho | $48.88 | −9% | 1,671,279 | 210 | 15% |
| MS — Mississippi | $47.34 | −12% | 1,380,107 | 225 | 21% |
| IN — Indiana | $46.75 | −13% | 4,245,235 | 388 | 15% |
| CA — California | $45.19 | −16% | 7,546,789 | 959 | 17% |
| TN — Tennessee | $44.21 | −17% | 3,264,133 | 233 | 26% |
| KS — Kansas | $44.12 | −18% | 1,398,294 | 288 | 30% |
| NE — Nebraska | $43.97 | −18% | 378,201 | 43 | 9% |
| KY — Kentucky | $42.84 | −20% | 2,619,639 | 342 | 23% |
| WV — West Virginia | $42.73 | −20% | 260,480 | 78 | 24% |
| WA — Washington | $42.72 | −20% | 1,735,830 | 283 | 14% |
| MT — Montana | $42.57 | −21% | 774,413 | 147 | 44% |
| CO — Colorado | $41.90 | −22% | 2,369,434 | 311 | 31% |
| NH — New Hampshire | $39.48 | −26% | 690,388 | 131 | 40% |
| DE — Delaware | $39.21 | −27% | 195,788 | 27 | 22% |
| LA — Louisiana | $36.42 | −32% | 2,621,114 | 414 | 20% |
| ME — Maine | $35.27 | −34% | 685,890 | 144 | 38% |
| IL — Illinois | $29.94 | −44% | 4,133,108 | 1,214 | 11% |
| RI — Rhode Island | $25.06 | −53% | 351,440 | 72 | 35% |
| SD — South Dakota | $21.11 | −61% | 302,417 | 59 | 35% |
| WI — Wisconsin | $20.02 | −63% | 3,724,858 | 502 | 15% |
| UT — Utah | $13.34 | −75% | 136,234 | 67 | 16% |
Average paid per claim is a ratio internal to the claims data, so unlike per-enrollee measures it needs no external denominator. It remains subject to one caveat: this extract carries no claim-type field, so fee-for-service claims and managed-care encounter records are mixed together, and states derive encounter amounts inconsistently. The coverage column indicates how much of each state’s program these claims represent.